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Pharmacy Prior Authorization Specialist

lifestance · 30+ days ago
Negotiable
Full-time
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At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health. 

Thank you for taking the time to explore a career with us. As the fastest growing mental health practice group in the country, now is the perfect time to join our corporate team!

Job Summary:
The Medical Services Coordinator is responsible for serving as a point of contact to coordinate medical care, providing support to patients and psychiatric clinicians, ensuring quality customer service to in-person and remote patients and clinicians.  

HOURLY PAY: $19.00 - 20.00/hour 
LOCATION: 6802 W. Snowville Rd., Brecksville, OH 44141

Duties/Responsibilities:

Operational Excellence:
Create a positive work environment; be a culture carrier and support in-office clinician and staff engagement activities to promote LFST culture, engagement, and connection. 
Provide strong customer service, responding quickly and appropriately to patient needs, and being prepared to manage potentially difficult or emotional situation.
Communicate with peers, clinicians, and patients in ways that support patient care and clinician satisfaction. 

Patient Support:
Assist psychiatric clinicians with necessary aspects of patient care including prior authorizations, lab orders, letters for patients, records requests, coordination of needed patient forms/paperwork (i.e. FLMA) 
Facilitate communication as needed between the patient, medical staff and the patient’s pharmacy 
Manage phone systems: Answer incoming calls to medical services line and provide patient support with medication related questions, refill requests, release requests, appointment reschedules, miscellaneous inquires, etc. 
Ensure accuracy of patient pharmacy information in the medical record 
Scan all hard copy correspondence into patient’s EHR record 
Assist patients with telehealth access, Patient Portal issues, and other troubleshooting as needed.
Immediately handle any urgent requests; triage patient issues and resolution, i.e., direct to correct departments or escalate for assistance.​ 
Assist in coordination of external referrals for patient care

Clinician Support:
Provide general clinician support – assist clinicians with administrative questions and/or duties such as sending letters, faxes, etc. 
Coordinate with clinicians pertaining to any additional patient questions. 
Aid psychiatric clinicians in termination process for patients as needed (i.e. termination letter, external referral, AMD status, etc.)

Required Skills/Abilities:
Ability to multitask and prioritize duties to support delivery of high-quality patient experience. 
Ability to work independently and as a team member. 
Strong communication skills, both written and verbal. 
Proficient in using Computer Software Applications (Microsoft Office & EMRs) 
Comfortable handling sensitive and confidential Information (HIPAA) 


Education and Experience:
High School or equivalent required, associates/bachelor’s degree preferred​. 1+ years of experience in healthcare operations, customer service, or similar role or setting preferred.

LifeStance is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees. Learn more about Diversity, Equity and Inclusion at LifeStance.

Benefits
As a full-time employee of LifeStance Health, the following benefits are offered: medical, dental, vision, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program.
LifeStance Health (NASDAQ: LFST) is one of the nation’s largest providers of virtual and in-person outpatient mental health care for children, adolescents and adults experiencing a variety of mental health conditions. LifeStance Health is based in Scottsdale, Arizona.

Our Vision: A truly healthy society where mental and physical healthcare are unified to make lives better.
Our Mission: To help people lead healthier, more fulfilling lives by improving access to trusted, affordable and personalized mental healthcare.
Our Values:

Delivering Compassion - We care for people unconditionally and act with empathy always.
Building Relationships - We are collaborative, building enduring relationships to achieve more together.
Celebrating Difference - We respect the diversity of every individual’s lived experiences.

Learn more at www.lifestance.com

Last updated on Jan 29, 2025

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